IMPACT Act Implementation

Incorporation of standardized assessment, including components of the CARE tool, into existing assessment tools across PAC providers.

Development and public reporting of quality measures across settings.

Hospitals and post acute care providers are required to provide quality measures to consumers when transitioning to a PAC provider (penalty of 2%).

The government is required to conduct studies and reports to link payment to quality.

$11M in funding for CMS to use payroll data to measure staffing in SNF setting.

Implications of Data Standardization

1st round of CARE items implemented in PAC settings in 2016

Measures will be ADDED to existing measurement instruments used in post acute care settings:

Acute Hospitals > no standard tool, varies by hospital

Long-Term Care Hospitals > LTCH CARE

Inpatient Rehabilitation Facilities > IRFPAI

Skilled Nursing Facilities > MDS

Home Health Agencies > OASIS

IMPACT Act Timeline

Reporting of Quality Measures

To the extent possible, the Secretary shall require reporting of such new quality measures through the PAC assessment instruments.

Timeline for New Quality Domains*

Functional Status

HHAs - 1/1/2019

SNFs - 10/1/2016

IRFs - 10/1/2016

LTCHs - 10/1/2018

Skin Integrity

HHAs - 1/1/2017

SNFs - 10/1/2016

IRFs - 10/1/2016

LTCHs - 10/1/2016

Medical Reconciliation

HHAs - 1/1/2017

SNFs - 10/1/2018

IRFs - 10/1/2018

LTCHs - 10/1/2018

Major Falls

HHAs - 1/1/2019

SNFs - 10/1/2016

IRFs - 10/1/2016

LTCHs - 10/1/2016

Patient Preference

HHAs - 1/1/2019

SNFs - 10/1/2018

IRFs - 10/1/2018

LTCHs - 10/1/2018

*Displayed dates are deadlines for measure specification and data collection. Confidential feedback reporting and public reporting is required one and two years, respectively, after the dates displayed above.

Academy Nominations for Measure Development Panels

The Academy has successfully nominated members to participate CMS measure development panels for the IMPACT Act measure development. Below is the current list of liaisons. While the Academy nominates the liaisons to participate on the measure development panels, these liaisons represent themselves as individuals with expertise on the panels, not the Academy.